SummaryTelemedicine is a new area based on the information and communication technology for collecting, storing, organizing, retrieving and exchanging medical information. One of the most important applications of telemedicine is indeed telesurgery in which an efficient telecommunication infrastructure between the surgery room and remote surgeons need to be established. One of the most important issues to be tackled in telesurgery is to find favorable links for routing as well as providing high Quality of Service (QoS). In this paper, an efficient model based on the hybridization of Type‐2 Fuzzy System (T2FS) and Cuckoo Optimization Algorithm (COA) over the Software Defined Networks (SDN) is proposed in order to achieve optimal and reliable routes for telesurgery application. Using T2FS, the fitness of the links is determined; then, a COA is conducted over the Constraint Shortest Path (CSP) problem to find the best routes. Delay is considered as a CSP problem which is satisfied by trying to find the paths with minimum cost. Due to the NP‐completeness of the CSP problem, an Enhanced COA (so‐called E‐COA) is proposed and utilized as a metaheuristic solver. To the best of our knowledge, this paper is the first SDN‐based communication model that applies both T2FS and E‐COA for assigning proper costs to the network's links, and solves the consequence CSP problem according to the QoS requirement for telesurgery. The model also recognizes and preserves the second‐best routes in order to keep the reliability for such a critical application. In addition to the simulations, the performance evaluation is also conducted on a real experimental scenario. Many comparisons are carried out between the proposed model and other conventional methods, and the evaluation study shows the superiority of the proposed model on all the three QoS‐related metrics, i.e. average end‐to‐end delay, packet loss ratio and PSNR.
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